Individual
DR. HARVEY MINKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101006157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3012847
—
MI
05
—
301284711
—
MI
01
—
31-56332415
BLUE CROSS NUMBER
MI
05
—
4431295
—
MI
01
—
OZ91063
BLUE CROSS
MI
Enumeration date
05/18/2006
Last updated
06/03/2008
Update your record
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